DEPARTMENT OF INSURANCE

Affiliations

Name	Michelsen, Robin Mark	DOIID	733408	NAIC NPN	1179717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/10/2020		10/31/2027
Active	Non Resident	Agent	Casualty	9/13/2019		10/31/2027
Active	Non Resident	Agent	Property	9/13/2019		10/31/2027
Inactive	Non Resident	Agent	Life	7/29/2010	10/31/2013
Inactive	Non Resident	Agent	Health	7/29/2010	10/31/2013
Inactive	Non Resident	Agent	Personal Lines	7/29/2010	10/31/2013
Active	Non Resident	Managing General Agent	Not Applicable	12/10/2020		10/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/19/2021		10/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American National Property and Casualty Company	300392	Agent - Casualty	9/17/2019
Active	American National Property and Casualty Company	300392	Agent - Property	9/17/2019
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	12/21/2022
Active	Arch Indemnity Insurance Company	301459	Agent - Property	12/21/2022
Active	Arch Insurance Company	300688	Agent - Casualty	12/16/2022
Active	Arch Insurance Company	300688	Agent - Property	12/16/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/28/2013	10/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/3/2012	10/31/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/6/2010	10/20/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/3/2012	10/31/2013
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/29/2011	4/16/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/29/2011	4/16/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	3/29/2011	4/16/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	3/29/2011	4/16/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/6/2010	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	10/6/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/6/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	10/6/2010	10/20/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/3/2012	10/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2012	10/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2012	10/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/3/2012	10/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/3/2012	10/31/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/6/2010	10/31/2013
Inactive	Indiana Insurance Company	301909	Agent - Property	10/6/2010	10/31/2013
Inactive	Integon National Insurance Company	301600	Agent - Casualty	10/25/2019	10/29/2019
Inactive	Integon National Insurance Company	301600	Agent - Property	10/25/2019	10/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/3/2012	10/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/3/2012	10/31/2013
Inactive	MIC General Insurance Corporation	300398	Agent - Casualty	10/28/2019	10/29/2019
Inactive	MIC General Insurance Corporation	300398	Agent - Property	10/28/2019	10/29/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/6/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/6/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/6/2010	10/20/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/6/2010	10/31/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/6/2010	10/31/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/6/2010	10/31/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/6/2010	10/31/2013
Active	StarStone National Insurance Company	300812	Agent - Casualty	1/13/2025
Active	StarStone National Insurance Company	300812	Agent - Property	1/13/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collateral Protection Partnership Ltd	1089194	Agent - Property	7/14/2020	6/5/2026
Inactive	Collateral Protection Partnership Ltd	1089194	Agent - Casualty	7/14/2020	6/5/2026
Denied	Collateral Protection Partnership Ltd	1089194	Managing General Agent - Not Applicable
Active	Collateral Protection Partnership Ltd	1089194	Administrator - Not Applicable	12/10/2020
Active	Collateral Protection Partnership Ltd	1089194	Surplus Lines Broker - Not Applicable	3/19/2021
Active	Novacore Insurance Services, LLC	573987	Agent - Property	6/25/2026
Active	Novacore Insurance Services, LLC	573987	Agent - Casualty	6/25/2026
Active	Novacore Insurance Services, LLC	573987	Surplus Lines Broker - Not Applicable	6/25/2026
Inactive	Summit Alliance Ins Advisors LLC	738307	Agent - Life	9/29/2010	3/31/2012
Inactive	Summit Alliance Ins Advisors LLC	738307	Agent - Health	9/29/2010	3/31/2012
Inactive	Summit Alliance Ins Advisors LLC	738307	Agent - Property	9/29/2010	3/31/2012
Inactive	Summit Alliance Ins Advisors LLC	738307	Agent - Casualty	9/29/2010	3/31/2012
Inactive	Summit Alliance Ins Advisors LLC	738307	Agent - Personal Lines	9/29/2010	3/31/2012